• Title/Summary/Keyword: Atopic Dermatitis

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Severity of Atopic Dermatitis and Associated Factors in Korean Adolescents by Sex (성별에 따른 한국 청소년의 아토피 피부염 심각성과 영향요인)

  • Yi, Yunjeong;Hyun, Sook Jung;Lee, Jinhwa;An, Ji Yeon
    • Journal of the Korean Society of School Health
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    • v.30 no.2
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    • pp.164-173
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    • 2017
  • Purpose: Despite the high incidence, the incidence of atopic dermatitis among adolescents has been continuously increasing. The study was conducted to examine the severity of atopic dermatitis among middle school students and to identify the factors affecting the severity. Methods: The data used in the analysis are from 2015 Youth Health Behavior Online Survey. Complex sample analysis was conducted to analyze the severity of atopic dermatitis which was defined by the treatment experience of atopic dermatitis and the number of absent days due to the disease as its criteria. Binary logistic regression of the factors affecting the severity of atopic dermatitis by gender was done. Results: The severity of atopic dermatitis was high in male students who were in a lower grade (freshmen), who smoked, or who consumed soft drinks at least once a week, while in female students who were in a lower grade (freshmen, sophomore), who consumed alcohol, who consumed highly caffeinated drinks at least once a week or who consumed sweet drinks at least once a week. The severity of atopic dermatitis was lower in female students who lived in big cities or medium/small sized cities or engaged in physical activities less than three times a week. Conclusion: For atopic dermatitis among middle school students, the importance of dietary management should be considered. This indicates that families, schools, and communities have their own responsibilities and efforts to relieve the symptoms of the atopic dermatitis.

A Case of Atopic Dermatitis with Sepsis (패혈증이 동반된 아토피피부염 치험 1례)

  • Yun, Young-Hee;Son, Byeong-Kook;Yu, Seung-Min;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.3
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    • pp.237-245
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    • 2009
  • Objective : It is well known that patients with atopic dermatitis are prone to cutaneous infections. Especially Staphylococcus aureus has been regarded as having an influence on atopic dermatitis. We observed and treated a case of an adult atopic dermatitis patient with sepsis by cooperation of east-west medicine. We present this case because there were no former reports of atopic dermatitis with sepsis treated by cooperation of east-west medicine. Method : We used herbal medication, acupuncture, herbal wet dressing combined with antibiotics and analgesics for 19 days. Atopic dermatitis grade was determined using SCORAD index. Result : The SCORAD index was lowered 32.3 at discharge than before of which the SCORAD index was 62.5 at admission. Other systemic inflammatory response such as fever, pus was also resolved. Conclusion : From this result, we suggest that herbal therapy associated with antibiotic therapy were shown to treat atopic dermatitis with secondary infection effectively.

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Demand Survey for Application of Environmental Therapy for Atopic Dermatitis

  • Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.35 no.2
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    • pp.34-40
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    • 2014
  • Objective: This study aimed to investigate the demand for natural environment therapy among parents of patients with atopic dermatitis. Methods: The questionnaire-based survey was conducted on the parents of 310 patients with atopic dermatitis (158 male and 152 female, median age 8 years, ranging from 2 to 21 years). The questionnaire consisted of 10 questions including demographic information, preference of environmental therapy and related choices. Results: Regardless of illness severity or gender, parents agreed with the importance of environmental therapy in treatment for atopic dermatitis. 55.2% of parents had considered moving to the countryside for their children with atopic dermatitis. 74.5% of parents answered positively to the possibility of movement to an atopy-free village, and this rate was significantly higher in parents of patients with severe symptoms (p < 0.05). Educational facilities and eco-environment were considered to be the most important factors in their decision. In addition, parents opted for organic food cooperatives, which was also felt necessary for their children suffering from atopic dermatitis. Conclusions: This study is the first report suggesting the extent of demand for environmental therapies among patients with atopic dermatitis. This information will be helpful in developing therapeutics using the natural environment in Korean medicine.

A Clinical study on the treatment of Atopic Dermatitis using Naesowhajungtanggamibang (내소화중탕가미방(內消和中湯加味方)의 아토피 피부염 치료에 대한 임상고찰)

  • Lee, Jin-Yong;Kim, Deog-Gon;Cho, Baek-Gun
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.1
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    • pp.131-141
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    • 2005
  • Objective : The objective of this study is to assess the clinical effect of Naesowhajungtang Gamibang on atopic dermatitis. Method : A total of 30 patients with atopic dermatitis were evaluated for the symptoms and signs according to SCORAD index and measured for peripheral eosinophil counts and serum total IgE before and after treatment. Results : 1. Among 30 patients diagnosed as Atopic Dermatitis, 11, were male(37%) and 19 were female(63%). the ratio of male and female patients were 1:1.7. 2. Among 30 patients diagnosed as Atopic Dermatitis, 25 Have family history of allergic disease(83%) and 20 have past history of allergic discase. 3. There was statistically significant relationship between serum total IgE and SCORAD score(p=0.019). 4. There was statistically significant relationship between peripheral eosinophil count and SCORAD score(p=0.001). 5. We could find no statistically significant change of serum total IgE and peripheral eosinphil count before and after treatment. 6. There was statistically significant change of SCORAD score and subjective symptom before and after treatment.(p<0.05). Conclusion : Naesowhajungtanggamibang is effective in the treatment of atopic dermatitis. And peripheral eosinophil counts and serum total IgE were good serum maker reflection the severity of atopic dermatitis.

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Reviewing Research on Laser Therapy of Atopic Dermatitis (아토피 피부염의 레이저 치료에 관한 논문 경향 분석)

  • Cho, Jae-Myung;Hong, Eun-Ju;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.1
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    • pp.82-96
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    • 2013
  • Objective : The purpose of this study is to analyze research trends on the effects of laser therapy on atopic dermatitis. Methods : We searched papers using pubmed, First search used the keyword "Laser Therapy, Low-level and Atopic dermatitis". Inclusion criteria were last 10 years, RCT, Clinical trial, Human. Second search used the keyword "LLLT and Atopic dermatitis". Inclusion criteria were Human. Third search used the keyword "Laser and Atopic dermatitis". Inclusion criteria was the same as first search. Finally we searched papers using the keyword "Laser and Atopic dermatitis" in NDSL and RISS. Papers not matched with inclusion criteria were excluded. Results : A total 20 studies were found, 14 studies were excluded and 6 studies were selected and analyzed. They turned out to be effective and no serious side-effect, but there was mild side-effect in 2 papers out of 4 papers using high-level laser. Conclusions : Low-level laser and high-level laser therapy, both can be effectively used as an alternative to the treatment of atopic dermatitis. Thus further attention and studies are needed on this topic in order to reduce the side effects and demonstrate the effectiveness clearly.

Effect of Taeyeol-go on Atopic Dermatitis (아토피 피부염 환자에 대한 태열고의 효과)

  • Yoon, Jong-Man;Kim, Dae-Bok;Park, Yang-Chun
    • Journal of Haehwa Medicine
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    • v.15 no.2
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    • pp.187-192
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    • 2006
  • Objective : Atopic dermatitis is a prevalent disease. Taeyeol-go(TYG) is a herbal ointment which was expected to useful for treatment of atopic dermatitis. The aim of this study was to evaluate the effect of TYG on atopic dermatitis. Methods : Patients with atopic dermatitis applied TYG twice daily for 1 week. Clinical extent, intensity and subjective symptom were assessed by scoring atopic dermatitis (SCORAD) index before and after treatment. Results : 10 patients(4 male, 6 female), 3 to 37 years of age(mean 14.6${\pm}$9.52 years old), 2 to 31 years of onset(mean 11.4${\pm}$8.54 years), finished study. After treatment extent(p<0.01), intensity(p<0.005), subjective symptom(p<0.002) and total SCORAD index(p<0.002) was significantly decreased than before treatment. Conclusion : These results suggest that TYG is an effective therapeutic method for atopic dermatitis. Further studies in the form of randomized controled trail are needed.

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A Study on Sasang Constitutional Characteristics of Atopic Dermatitis Patients Based on Atopic Dermatitis Personal Health Record (개인 건강 기록을 통한 아토피 피부염 환자의 사상체질 특성에 관한 연구)

  • Sung, Hyun-Kyung;Go, Ho-Yeon;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.31 no.4
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    • pp.41-56
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    • 2019
  • Objective The purpose of this study is to analyze the daily life records of atopic dermatitis patients according to Sasang Constitution based on the data recorded using Personal Health Record (PHR) platform, and to find basic data for the Sasang Constitutional daily life management and prevention. Method Thirty patients with atopic dermatitis under 19 years old were included. The data recorded using PHR platform by the patient or the parents for 6 weeks and allergic blood tests were analyzed according to Sasang Constitution. Result As a result of analyzing the atopic dermatitis PHR related to Sasang Constitutional characteristics, there were no significant differences due to the small number of subjects. There were a tendency associated with the Sasang Constitutional characteristics in the emotional state, urine, stool and weakness score of five viscera. Allergic reactions tended to occur in those with higher weakness score of Viscera. There was a significant correlation between quality of life and SCORing Atopic Dermatitis(SCORAD) score. Conclusion This study can be considered as a primary study on items that tend to be associated with Sasang constitutional characteristics in patients with atopic dermatitis.

Pattern of Treatment Choice for Atopic Dermatitis by Child's Parents (아토피 환자의 치료선택 경향에 대한 설문연구)

  • Son, Chang-Gue
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.1
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    • pp.37-44
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    • 2014
  • Objective : This study aimed to survey the pattern of the treatment choice for atopic dermatitis. Methods : The questionnaire-based survey was conducted from the parents of 310 patients (median age 9 years, range 2 to 21 year, 158 male and 152 female) with atopic dermatitis. The questionnaire was consisted of 11 questions for the demographic information including treatment choice for atopic dermatitis. Results : The most agonizing factor of atopic dermatitis was pruritus, while the most frequent regions were arms and legs. Conventional therapy (60.3%), folk-remedy (23.9%) and treatment of Korean medicine (15.8%) were the preference of treatment by patients. Over half answers (58.4%) were negative for the current treatments, and the main complains was the absence of radical therapy (26.5%), insufficient information (20.6%), and expensive cost of treatments (19.0%), respectively. Conclusion : This study may provide the important information for the general prospective of parents of patients with atopic dermatitis, which is helpful to develop the Korean medicine-derived therapeutics for atopic dermatitis.

A study on the Development of Traditional Korean Medicine Clinical Practice Guideline for Atopic Dermatitis (아토피피부염의 한의학 진료 지침 개발을 위한 사전 연구)

  • Yun, Young-Hee;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.2
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    • pp.38-48
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    • 2012
  • Background : The atopic dermatitis patient and their families are looking for safer herb-medicine treatments that possess therapeutic effects, but without the recurrence of symptoms and long-term harmful consequences that can result from other treatment. However, for many reasons, including methodological difficulties and lack of high quality study like randomized clinical study and systematic review, there are no consistent clinical guide line for atopic dermatitis in Traditional Korean Medicine. Objectives : Evidence-based clinical practice guidelines support clinical decision-making by making recommendations to guide clinical practice. The purpose of this study was to develop Traditional Korean Medicine clinical practice guideline for atopic dermatitis Result : The future guide should be based on scientific evidence and include the followings: (1) diagnosis of atopic dermatitis (2) the pattern identification of atopic dermatitis (3) classification of Sasang Constitution (4) efficacy assessment (5) treatment guideline (6) education for patients and care givers Conclusion : The development of Traditional Korean Medicine clinical practice guideline for atopic dermatitis is needed.

A Case of Atopic dermatitis treated by Exteral therapy (외치요법을 위주로 한 아토피 피부염 환자 증례)

  • Hong, Sung-Min;Um, You-Sik;Byun, Hak-Sung;Sim, Sung-Yong;Kim, Kyung-Jun;Hur, Inn-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.201-208
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    • 2006
  • Object : In this study, the effect of herbal external therapy, aromatherapy, herb medication against atopic dermatitis was investigated. Method : Atopic dermatitis grade and the effect of medication was determined using Kunz type and SCORAD index. Atopic dermatitos lesion was checked by taking pictures Result : The patient's admission SCORAD index was 74.2 but during 32 days admission treatment the patients's symptoms are getting reduced. At last when she discharged, the SCORAD index was 16.1. Conclusion : In this study, herbal external therapy, aromatherapy and herb medication were shown to treat atopic dermatitis effectively by decreasing itching, oozing, crust, dryness, lichenification. It is very possible that external therapy can offer a valuable mode of the treatment of not only atopic dermatitis but also another eczema.

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